Organization
PEDIATRIC PARTNERS EL PASO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE PRIETO JR. M.D. (PRESIDENT)
(915) 591-7704
Entity
Organization
Contact information
Practice address
1390 GEORGE DIETER, SUITE 100, EL PASO, TX 79936-7423
(915) 591-7704
(915) 591-7734
Mailing address
1390 GEORGE DIETER, SUITE 100, EL PASO, TX 79936-7423
(915) 591-7704
(915) 591-7734
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506733
—
NM
05
—
337598201
—
TX
Enumeration date
05/06/2014
Last updated
05/29/2015
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